Premature ejaculation treatment- based on treatment modality

Premature ejaculation (PE) is a common condition that affects many men. It is defined as the inability to delay ejaculation during sexual intercourse, leading to dissatisfaction for both partners. There are several treatment options available for PE, including behavioral techniques, topical medications, and oral medications.

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Behavioral techniques, also known as sexual therapy, involve learning specific techniques to help delay ejaculation. These techniques may include the squeeze technique, which involves squeezing the base of the penis to decrease arousal, and the start-stop technique, which involves stopping sexual activity when nearing ejaculation and waiting until the urge to ejaculate has passed.

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Topical medications, such as lidocaine and prilocaine creams or sprays, can be applied to the penis to reduce sensitivity and delay ejaculation. These medications should be applied about 20-30 minutes before sexual activity.

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Oral medications, such as selective serotonin reuptake inhibitors (SSRIs), can also be effective in treating PE. These medications, which are commonly used to treat depression and anxiety, work by increasing levels of serotonin in the brain, which can help delay ejaculation. Commonly prescribed SSRIs for PE include dapoxetine and paroxetine.

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All of these treatments are effective in treating PE, with success rates of up to 80%. However, they do have potential side effects, such as numbness with topical medications, and nausea, headache, and dizziness with oral medications.

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It is important to discuss the risks and benefits of these treatments with a qualified healthcare provider to determine which option is best for an individual's specific situation. Other treatment options, such as pelvic floor exercises, acupuncture, and herbal supplements, may also be considered.